Individual provider · Type 1 NPI

Susana G. Marino, MD, PhD

Specialist · Chicago, IL

NPI number 1073676987 Active

Practice location

5841 S Maryland Ave, Mc 0006
Chicago, IL 60637-1447

Call (773) 702-1606 Map

Fax (773) 702-9082

Mailing address

PO Box 14499
Chicago, IL 60614-0499

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X064

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073676987

Susana G. Marino, MD, PhD's National Provider Identifier is 1073676987, issued on Dec 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.